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There are 13 four-week periods each year. All the rotations in the first year are required. The number of elective rotations increases in the second and third years.
REQUIRED ROTATIONS
First Year
Second Year | Rotation | Period(s) | Site | | Family Medicine/Inpatient | 2.0 | UPMC Shadyside | |
| Pediatrics-CHP ER 2nd Year | 1.0 | Children's Hospital of Pittsburgh | | Obstetrics | 1.0 | Magee-Womens Hospital of UPMC; UPMC Shadyside | | Cardiology/Inpatient/Outpatient | 1.0 | UPMC Shadyside | | Neurology/Inpatient/Outpatient | 1.0 | UPMC Shadyside | | Sports Medicine | 1.0 | UPMC Shadyside | | Night Float/Inpatient | 1.0 | UPMC Shadyside | | Geriatrics/Inpatient/Nursing Home/Outpatient | 1.0 | UPMC Shadyside; Shadyside Nursing & Rehabilitation Center | | Management of Health Systems | 1.0 | UPMC Shadyside | | Emergency Room 2 | 1.0 | UPMC Presbyterian | | Psychiatry: Outpatient and Inpatient Consultation/Liason | 1.0 | UPMC Shadyside | |
Third Year | Rotation | Period(s) | Site | | Chief Resident/Family Health Center | 1.5 | UPMC Shadyside | | Family Medicine/Inpatient | 1.0 | UPMC Shadyside | | Pediatrics-CHP ER 3rd Year | 1.0 | Children's Hospital of Pittsburgh | | Orthopedics/Outpatient | 1.0 | UPMC Shadyside | |
| Gynecology PGY-2-3 | 1.0 | UPMC Shadyside | Night Float/Inpatient | 0.5 | UPMC Shadyside |
Required Electives
The following electives must be completed within the second and third years:
- Dermatology (4 weeks)
- ENT (2 weeks)
- Ophthalmology (2 weeks)
- Urology (2 weeks)
- Internal Medical Electives (4 weeks in each year)
During the last two years in the program, a resident will have 18.5 periods of required rotations and 2 periods of required electives. In addition, there will be 4.5 periods of free electives. Two of these must be in internal medicine, during which the resident can structure an experience to meet his or her individual goals.
Electives
- Allergy/Immunology
- Anesthesiology
- Cardiology
- Integrative Medicine
- Dermatology
- Emergency Medicine
- Ethics
- Gastroenterology
- Heart Station
- Hematology/Oncology
- Infectious Disease
- Nephrology
- Neurology
- Obstetrics
- Palliative Care
- Pediatrics (inpatient/outpatient, Children's Hospital of Pittsburgh)
- Podiatry
- Proctology
- Public Health
- Pulmonary
- Radiology
- Rheumatology
- Rehabilitation
- Rural Practice
- Sports Medicine
- Urban Practice
All PGY1, PGY2 and PGY3 residents will participate in a Longitudinal Outpatient Practice Improvement Rotation (LOPIR) for the entire three years of their residency. Residents are divided into one of four workgroups, focused on improviding the quality of care for a given sphere of outpatient primary care provided at the Family Health Center. Residents learn through work in multidisciplinary teams, individualized work with faculty, preparation and presentation of own projects, conduct peer evaluations and ultimately, present the teams' work in the form of a senior project.
For those who wish to further their training beyond the three-year curriculum, UPMC Shadyside offers fellowship opportunities in Primary Care Sports Medicine, administered by our residency program; Faculty Development Fellowship, administered jointly through UPMC St. Margaret's and UPMC Shadyside's residency programs, and Geriatrics, administered through the Division of Internal Medicine. Both programs are based at UPMC Shadyside and administered on-site. Further information can be obtained through the Family Medicine Residency Program.
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| Behavioral Science Curriculum |
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The Shadyside Family Medicine Residency is committed to providing a strong curriculum in behavioral science. The core faculty includes an LCSW/family therapist and a psychiatrist. Focus of the curriculum is on teaching at the point of care. There are several initiatives designed for this purpose. Residents fine-tune medical interviewing skills by reviewing videotaped office visits with the faculty immediately following designated clinical sessions. Residents can see their outpatients together with the psychiatrist to improve their diagnostic skills as well as to enhance competence in biopsychosocial treatment planning and psychopharmacologic treatment. Select well-child care visits are co-precepted by a pediatrician and clinical social worker. During these expanded visits, residents enhance their ability to identify developmental/behavioral concerns and the appropriate guidance or intervention strategies. A consensus based, quality improvement project for the diagnosis and treatment of depression in primary care both promotes and supports the residents’ competence in treating depression. A Behavioral Science faculty member joins the inpatient team for walk rounds on a weekly basis. A weekly Balint group enhances residents’ understanding of the doctor-patient relationship. In addition, residents make several visits to social service agencies to learn about resources available in the community.
Psychiatry/Behavioral Medicine conferences are held bi-weekly, with various formats including skill development workshops, case conferences, psychopharmacology consultations, patient interviews, and a variety of other presentations. These sessions are interactive and multi-modal. In addition to the substantive formal instruction, behavioral health issues are addressed regularly by the Family Medicine faculty throughout the three years as part of inpatient and outpatient clinical teaching. Members of the behavioral science faculty are able to see patients with residents when needed. A rotation in inpatient/outpatient psychiatry in the second year rounds out the extensive curriculum. This rotation offers experiences in inpatient psychiatry consultation-liaison services and outpatient psychiatry in several medical outpatient settings. The resident has the opportunity to see psychiatric problems in both medical inpatient and outpatient settings where family physicians ordinarily encounter these issues. They gain more experience in recognition, diagnosis, biopsychosocial treatment planning and psychopharmacologic management.
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| Pediatrics Curriculum |
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The pediatrics program at UPMC Shadyside provides exposure to the whole scope of pediatrics required for family physicians. Two rotations are dedicated to pediatrics during the first year of residency.
One month is spent at Children's Hospital of Pittsburgh (CHP), where the resident provides care on an inpatient team. CHP provides the inpatient and emergency care for the majority of children in the city of Pittsburgh and surrounding areas. CHP averages 12,500 admissions per year; therefore, residents see patients with common problems as well as some more complex cases during this month.
The Ambulatory Peds/Nursery rotation during the PGY-1 year is divided into a newborn nursery experience and an ambulatory pediatrics experience. The newborn nursery experience consists of two weeks of daily rounds in the mornings in the well-baby nurseries at Magee-Women’s Hospital of UPMC with pediatric residents and a faculty pediatrician from the University of Pittsburgh School of Medicine, Department of Pediatrics. A formal web-based newborn nursery curriculum accompanied by case discussions and required readings supports this clinical experience. Two more half days are spent acquiring certification in the AAP/AHA Neonatal Resuscitation Providers Course, taught by the UPMC Shadyside faculty pediatrician. In addition, first-year residents on this rotation spend three half-days per week for four weeks in a board certified pediatrician's office. This ambulatory pediatric experience is supplemented by eight mornings of a didactic and clinical ambulatory pediatric care curriculum, taught by the UPMC Shadyside faculty pediatrician. Teaching strategies include case discussions, lectures, videos and assigned readings.
During the second and third years, residents spend one rotation each year in the Emergency Room at CHP. Since CHP averages 53,000 emergency room visits per year, this experience gives exposure to a wide variety of acute care pediatrics in a busy setting.
One of the joys of residency is delivering a child and then following this child throughout his or her early years of life. Beyond scheduled rotations, residents will spend time seeing children as part of their continuity care at the UPMC Shadyside Family Health Center. Approximately 20 percent of all patient visits at the Family Health Center are for patients under the age of 15 years. Residents will see children for acute care, well-child checks with immunizations, chronic medical care, and a variety of medical examinations.
On call, residents will triage phone calls for our pediatric population and see all Family Health Center children that come to the ER. Other required rotations, such as otolaryngology and orthopedics, have pediatric components as well. Residents are required to complete a Pediatric Advanced Life Support course during their second year.
Continuing education during all three years of residency includes lectures on various primary care topics provided by Pediatric and Family Medicine faculty. Madeline Simasek, MD, a full-time faculty member and Board-Certified pediatrician, coordinates the pediatrics curriculum. Dr. Simasek is available to see patients with complicated problems in consultation with residents at the Family Health Center. In addition, she provides feedback on care delivered by the residents. She also co-precepts select well-child care visits with our Clinical Social Worker. These sessions are designed to teach developmental/behavioral pediatrics at the point of care.
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| Sports Medicine Curriculum |
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Common orthopaedic problems and sports injuries are an everyday occurrence in family medicine, and the curriculum at UPMC Shadyside presents a variety of exposures to primary care sports medicine.
Residents will be taught how to evaluate and treat orthopaedic problems and sports injuries throughout their residency training. Exposure to sports medicine occurs during Emergency Room rotations at UPMC Shadyside and the Children's Hospital of Pittsburgh, the outpatient orthopaedics rotation at a private office during second year, acute visits at the Family Health Center, and in a dedicated sports medicine rotation during the third year.
The Shadyside Family Medicine Residency Program is fortunate to have one of the first accredited Primary Care Sports Medicine Fellowships in the country. The Sports Medicine fellow, Sports Medicine faculty members, and Family Medicine faculty members are available to precept office visits with residents and act as consultants who, together with the resident in the Family Health Center, can see patients. |
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| Surgery Curriculum |
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The surgery curriculum at UPMC Shadyside is geared toward outpatient surgical procedures and the diagnosis of surgical conditions.
One month is spent during the intern year on General Surgery and one month is spent during the second year on Plastic Surgery. Residents spend one week observing Cardiothoracic Surgery. This time is focused on improving technical skills, with some additional time on post-op management and acute diagnosis.
Outpatient rotations are completed in ENT and Urology, with the focus on primary care aspects of common problems in these two specialties.
At the UPMC Shadyside Family Health Center Procedure Clinic, family medicine attendings supervise residents in procedures such as flexible sigmoidoscopy, skin biopsies or excisions, colposcopies, and toenail removal. Suturing experience comes with ER rotations and treating simple lacerations at the Family Health Center.
A workshop required on the first day of all first-year surgery rotations ensures basic skill levels and refreshes procedural skills, especially suturing techniques.
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| Women's Health Curriculum |
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The curriculum for maternity care, gynecology, and general women's health care is multifaceted, combining longitudinal, rotational, didactic, and community-based learning. The obstetrical experience at UPMC Shadyside is a prime example of the flexibility of the program. Furthermore, the Family Medicine Residency Program focuses on developing a family-centered approach to maternity care on the Family Medicine obstetrics rotations in collaboration with the Magee O.B. Residency.
The faculty at UPMC Shadyside includes six family doctors who actively practice obstetrics and two board-certified obstetricians. This mix allows a family medicine doctor to serve as the primary preceptor for deliveries done by the residents, but with immediate OB backup. Residents are encouraged to interact with obstetricians, doulas, and labor nurses to aid in developing their own "personal style" of providing maternity care. The use of Jacuzzis, birthing balls, and intermittent monitoring are all commonly used during labor and delivery at Magee-Women’s Hospital of UPMC.
Residents will be taught routine longitudinal prenatal care throughout their entire residency.
Residents will spend four weeks each year during the first two years of residency on labor and delivery at Magee-Women’s Hospital of UPMC. For those with an interest in pursuing obstetrics, rotations are available at out-of-town hospitals that have high volumes of deliveries. Elective rotations are available during the third year as well.
The flexibility of this curriculum allows some residents to fulfill the minimum RRC requirement for deliveries while others pursue a more high-volume experience. The number of deliveries will depend on each resident's desires, goals, and aspirations for OB practice. All residents complete the ALSO course and are encouraged to learn obstetric ultrasound and first assisting on C-sections.
During training, residents will learn routine office gynecologic procedures, and they will have the opportunity to learn procedures such as colposcopy, IUD insertion, and endometrial biopsy.
Residents are taught the importance of family planning and contraceptive counseling throughout residency. Residents will spend one month during their third year working with a gynecologist, with the goal of increasing procedures and competency in routine gynecologic care. By the end of training at UPMC Shadyside, residents feel comfortable performing routine gynecologic procedures and prepared to provide excellent gynecologic care in their practices.
Lectures, case presentations, precepting, grand rounds, and community outreach activities regularly address issues in obstetrics, gynecology, and general women's health care.
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